Eligibility Criteria: - Any graduation - 1 to 5 years of experience in accounts receivable follow-up/denial management for US healthcare customers - Willingness to work continuously in night shifts - Good knowledge in RCM/AR or Prior Auth - Immediate joiner preferred - Must have experience in Hospital Billing or Physician Billing Key Responsibilities: - Perform pre-call analysis and check status by calling the payer or using IVR or web portal services - Maintain adequate documentation on client software to send necessary documentation to insurance companies and maintain a clear audit trail for future reference - Record after-call actions and perform post-call analysis for claim follow-up - Provide accurate product/service information to customers, research available documentation including authorization, nursing notes, and medical documentation on client's systems, interpret explanation of benefits received prior to making the call - Analyze accounts receivable data and understand reasons for underpayment, days in A/R, top denial reasons, and use appropriate codes for documentation of denials/underpayments - Prepare, review, and transmit claims using AR software, including electronic and paper claim processing - Review patient bills for accuracy and completeness and obtain any missing information Perks and Benefits: - Salary: Industry Standards - Two-side cab and dinner allowance provided. Interested candidates can ping their CV at De**************a@co********h.com
HR DEEPTI- 7428878***
Preferred candidate profile

Keyskills: Revenue Cycle Management AR Calling RCM Authorization Denial Handling Epic HIPAA US Healthcare Denial Management Denials